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Clinical Breast Exam

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1. Exam Series: Guide to the Back Exam

the asymptomatic leg is raised. This test has higher specificity but lower sensitivity compared to the straight leg raise. Test Sensitivity Specificity Likelihood Ratio (LR) Straight Leg Raise 91% 26% 3.74 Cross Straight Leg Raise 29% 88% 4.39 Clinical Utility of Special Tests in the Lumbar Spine Exam 3 Femoral Nerve Root Irritation: Femoral stretch test: Position the patient prone and have them flex one knee to 90°. Grasp the patient’s ankle and extend the hip; radicular pain in the thigh suggests femoral (...) Exam Series: Guide to the Back Exam Exam Series: Guide to the Back Exam - CanadiEM Exam Series: Guide to the Back Exam In , by Kathryn Chan July 23, 2018 A 67-year-old male presents to your emergency room with back pain. He has a history of intermittent back pain that typically responds to NSAIDs, however this particular episode has been much more severe. He now feels sharp pain that radiates into this left foot with certain movements, which causes weakness when walking. His past medical

2018 CandiEM

2. Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi (PubMed)

Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi Despite the increasing burden, breast cancer control in sub-Saharan Africa is insufficient. Late diagnosis and lack of early detection and screening services contribute to high mortality. Clinical breast exam (CBE) screening can be valuable in low-income countries, including use of community health workers and non-health professionals to conduct exams. We assessed experiences of women who (...) underwent CBE screening by trained laywomen in Lilongwe, Malawi, as part of a pilot program.The pilot study invited women attending urban health clinics to a breast cancer educational talk followed by CBE screening by trained laywomen. We purposively sampled participants from the pilot study and interviewed them about the screening experience and future cancer education programs and services.Overall participants had positive experiences and were willing to undergo CBE screening by trained laywomen

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2017 Cancer causes & control : CCC

3. From Community Laywomen to Breast Health Workers: A Pilot Training Model to Implement Clinical Breast Exam Screening in Malawi (PubMed)

From Community Laywomen to Breast Health Workers: A Pilot Training Model to Implement Clinical Breast Exam Screening in Malawi Breast cancer burden is high in low-income countries. Inadequate early detection contributes to late diagnosis and increased mortality. We describe the training program for Malawi's first clinical breast exam (CBE) screening effort.Laywomen were recruited as Breast Health Workers (BHWs) with the help of local staff and breast cancer advocates. The four-week training (...) consisted of lectures, online modules, role-playing, case discussions, CBE using simulators and patients, and practice presentations. Ministry of Health trainers taught health communication, promotion, and education skills. Breast cancer survivors shared their experiences. Clinicians taught breast cancer epidemiology, prevention, detection, and clinical care. Clinicians and research staff taught research ethics, informed consent, data collection, and professionalism. Breast cancer knowledge was measured

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2016 PloS one

4. Clinical breast exam screening by trained laywomen in Malawi integrated with other health services (PubMed)

Clinical breast exam screening by trained laywomen in Malawi integrated with other health services Breast cancer awareness and early detection are limited in sub-Saharan Africa. Resource limitations make screening mammography or clinical breast examination (CBE) by physicians or nurses impractical in many settings. We aimed to assess feasibility and performance of CBE by laywomen in urban health clinics in Malawi.Four laywomen were trained to deliver breast cancer educational talks and conduct (...) CBE. After training, screening was implemented in diverse urban health clinics. Eligible women were ≥30 y, with no prior breast cancer or breast surgery, and clinic attendance for reasons other than a breast concern. Women with abnormal CBE were referred to a study surgeon. All palpable masses confirmed by surgeon examination were pathologically sampled. Patients with abnormal screening CBE but normal surgeon examination underwent breast ultrasound confirmation. In addition, 50 randomly selected

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2016 The Journal of surgical research

5. Challenges with identifying indication for exam in breast imaging as a key clinical attribute in practice, research, and policy (PubMed)

Challenges with identifying indication for exam in breast imaging as a key clinical attribute in practice, research, and policy To assess indication for examination for four breast imaging modalities and describe the complexity and heterogeneity of data sources and ascertainment methods.Indication was evaluated among the Population-based Research Optimizing Screening through Personalized Regimens (PROSPR) breast cancer research centers (PRCs). Indication data were reported overall (...) and separately for four breast imaging modalities: digital mammography (DM), digital breast tomosynthesis (DBT), ultrasound (US), and magnetic resonance imaging (MRI).The breast PRCs contributed 236,262 women with 607,735 breast imaging records from 31 radiology facilities. We found a high degree of heterogeneity for indication within and across six data sources. Structured codes within a data source were used most often to identify indication for mammography (59% DM, 85% DBT) and text analytics for US (45

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2016 Journal of the American College of Radiology : JACR

6. Clinical Breast Exam

Clinical Breast Exam Clinical Breast Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Clinical Breast Exam Clinical Breast Exam (...) Aka: Clinical Breast Exam , Breast Exam From Related Chapters II. Efficacy: Clinical Breast Exam USPTF does not recommend for or against CBE or SBE Insufficient evidence to date Contrast with which is USPTF B rating Sensitivity of Clinical Breast Exam CBE detects 3-24% of cancers missed by Especially in Women younger than age 50 Limitations of Clinical Breast Exam High As few as 4% of abnormal CBE are Misses >40% of cancers diagnosed by Requires practice for confidence and proficiency Technique

2018 FP Notebook

7. Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam

Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Comparison of Diagnostic Accuracy of Automated Volume Breast Scanner to Hand Held Ultrasound for Diagnostic Breast Exam The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02789163 Recruitment Status : Completed First

2016 Clinical Trials

8. Early Breast Cancer: ESMO Clinical Practice Guidelines

Early Breast Cancer: ESMO Clinical Practice Guidelines 1 Early breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up † F. Cardoso 1 , S. Kyriakides 2 , S. Ohno 3 , F. Penault-Llorca 4,5 , P. Poortmans 6, 7 , I. T. Rubio 8 , S. Zackrisson 9 and E. Senkus 10 , on behalf of the ESMO Guidelines Committee* 1 Breast Unit, Champalimaud Clinical Center/Champalimaud Foundation, Lisbon, Portugal; 2 Europa Donna Cyprus, Nicosia, Cyprus; 3 Breast Oncology Center, Cancer (...) ; it will not be addressed in the present manuscript. Running header: ESMO Clinical Practice Guidelines early breast cancer Word count: 14 358 (excluding key message, references, tables & figures) Key words: early breast cancer, diagnosis, treatment, follow-up Key message (online only): This ESMO Clinical Practice Guidelines provide updated state-of-the-art recommendations on management of early breast cancer (diagnosis, treatment and follow-up), compiled by a multidisciplinary author panel and accompanied by level

2019 European Society for Medical Oncology

9. Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps

Evidence-Based Clinical Practice Guideline: Autologous Breast Reconstruction with DIEP or Pedicled TRAM Abdominal Flaps Copyright © 2017 American Society of Plastic Surgeons. Unauthorized reproduction of this article is prohibited. www.PRSJournal.com 651e A ccording to the American Cancer Soci- ety, approximately one in eight women in the United States will develop invasive breast cancer in their lifetime, and an estimated 246,600 will be newly diagnosed in 2016 alone. 1 When breast-conserving (...) the reconstructed breast. 2 The American Society of Plastic Surgeons Tracking Operations and Outcomes for Plastic Surgeons 3 program reports a consistent record of free flap and pedicled transverse rectus abdominis myocutaneous flap breast reconstruction pro- cedures relative to the total number of proce- dures entered annually. The American Society of Plastic Surgeons published the first clinical Copyright © 2017 by the American Society of Plastic Surgeons DOI: 10.1097/PRS.0000000000003768 Bernard T. Lee, M.D

2017 American Society for Radiation Oncology

10. Evaluation on the Practice and Behaviour of Women Applied for Gynecology Outpatient Clinics About Screening Methods for Early Diagnosis of Breast Cancer (PubMed)

Evaluation on the Practice and Behaviour of Women Applied for Gynecology Outpatient Clinics About Screening Methods for Early Diagnosis of Breast Cancer Breast self-examination (BSE), clinical breast exam (CBE), mammography and ultrasound imaging (UI) are screening methods used for early diagnosis of breast cancer (BC). The purpose of this study is to put forth the utilization frequency of these screening methods among women presenting to the gynecology outpatient clinics and the relation (...) of these data with the socio-demographic characteristics of the women.A survey was conducted among 429 women (age, 16-80 years) who were admitted to the gynecology outpatient clinics. The survey inquired about the rate and frequency of the performance of BSE, CBE, mammography and UI; personal and family history of breast cancer and social-demographic characteristics of the women.The mean age was 40.08 (SD: 3.67). More than half of the women above 40 years of age (59.7 %) had never undergone mammography

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2017 European journal of breast health

11. Estimating Patient Dose from CT Exams That Use Automatic Exposure Control: Development and Validation of Methods to Accurately Estimate Tube Current Values (PubMed)

), the average differences for lung and breast doses ranged from 3.4% to 6.6%. For abdomen/pelvis exams, the average differences for liver, kidney, and spleen doses ranged from 4.2% to 5.3%.Strong agreement between organ doses estimated using actual and estimated tube current values provides validation of both methods for estimating tube current values based on data provided in the topogram or simulated from image data.© 2017 American Association of Physicists in Medicine. (...) Estimating Patient Dose from CT Exams That Use Automatic Exposure Control: Development and Validation of Methods to Accurately Estimate Tube Current Values The vast majority of body CT exams are performed with automatic exposure control (AEC), which adapts the mean tube current to the patient size and modulates the tube current either angularly, longitudinally or both. However, most radiation dose estimation tools are based on fixed tube current scans. Accurate estimates of patient dose from

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2017 Medical physics

12. The Effect of Counseling on Breast Cancer Awareness in Rural Iranian Women: a Randomized Controlled Clinical Trial. (PubMed)

The Effect of Counseling on Breast Cancer Awareness in Rural Iranian Women: a Randomized Controlled Clinical Trial. In a community such as Iran where late presentation is predominant and the majority of breast cancer patients are diagnosed at advanced stages of the disease, there is an urgent need for improving the level of awareness about breast cancer and early detection measures. Given that rural residents are at higher risk for late diagnosis of breast cancer because they have less (...) education, income, and access to advanced screening technologies, this study was conducted to determine the effect of counseling on breast cancer awareness of rural Iranian women. This randomized clinical trial was conducted on 60 rural women from the Abish Ahmad area in northwestern Iran in 2017. The randomized cluster method was used for sampling. From 20 rural health houses and centers, about one third were selected randomly. From the six selected clusters, three were randomly allocated

2018 Journal of cancer education : the official journal of the American Association for Cancer Education

13. Comparing CISNET Breast Cancer Models Using the Maximum Clinical Incidence Reduction Methodology. (PubMed)

between 4 simplified scenarios: 1) no-screening; 2) one-time perfect screening exam, which detects all existing cancers and perfect treatment (i.e., cure) of all screen-detected cancers; 3) one-time digital mammogram and perfect treatment of all screen-detected cancers; and 4) one-time digital mammogram and current guideline-concordant treatment of all screen-detected cancers.The 5 models predicted a large range in maximum clinical incidence (19% to 71%) and in breast cancer mortality reduction (33 (...) Comparing CISNET Breast Cancer Models Using the Maximum Clinical Incidence Reduction Methodology. Collaborative modeling has been used to estimate the impact of potential cancer screening strategies worldwide. A necessary step in the interpretation of collaborative cancer screening model results is to understand how model structure and model assumptions influence cancer incidence and mortality predictions. In this study, we examined the relative contributions of the pre-clinical duration

2018 Medical Decision Making

14. Biological and Clinical Effects of Palbociclib With Ovarian Suppression and Letrozole in the Neoadjuvant Treatment of Breast Cancer

, approximately 24 weeks ] Objective response rate determined by breast tumor assessment measured by clinical exam and ultrasound Pathologic complete response to study therapy (breast) [ Time Frame: From study entry to time of surgery, generally 3 to 4 weeks after completion of study therapy at approximately 28 weeks ] Percentage of patients with absence of invasive cancer in surgical specimens Pathologic complete response to study therapy (breast with nodes) [ Time Frame: From study entry to time of surgery (...) Biological and Clinical Effects of Palbociclib With Ovarian Suppression and Letrozole in the Neoadjuvant Treatment of Breast Cancer Biological and Clinical Effects of Palbociclib With Ovarian Suppression and Letrozole in the Neoadjuvant Treatment of Breast Cancer - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have

2018 Clinical Trials

15. The Clinical Breast Exam: A Skill that Should Not Be Abandoned. (PubMed)

The Clinical Breast Exam: A Skill that Should Not Be Abandoned. The clinical breast exam (CBE) is an important tool in the care of women. However, the utility of the screening CBE has been called into question. This article discusses the importance of the CBE as a physical diagnosis tool. Recommendations regarding screening with CBE are reviewed, and evidence surrounding breast cancer screening using CBE is briefly summarized. Clinicians should strive to provide high quality CBEs as part (...) of the general clinical exam for women, particularly those who present with breast complaints, and for patients who choose to have CBE screening. In conclusion, there is a role for the CBE in the care of women, and clinicians should be proficient at performing these exams. Simulation teaching technologies are now available at Department of Veteran Affairs (VA) facilities to enable clinicians to improve their CBE skills.

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2013 Journal of General Internal Medicine

16. Fibrocystic breasts

-285. http://www.ncbi.nlm.nih.gov/pubmed/16034013?tool=bestpractice.com History and exam presence of risk factors mastalgia diffuse symmetrical lumpiness through both breasts age 30 to 50 years nipple discharge palpable breast mass late-onset menopause later age at first childbirth nulliparity obesity oestrogen replacement therapy Diagnostic investigations mammography breast ultrasound cyst aspiration breast biopsy Treatment algorithm ONGOING Contributors Authors Professor of Surgery Division (...) of Surgical Oncology and Endocrine Surgery University of Iowa Hospitals and Clinics Iowa City IA Disclosures SS declares that she has no competing interests. Clinical Assistant Professor Division of Surgical Oncology and Endocrine Surgery University of Iowa Hospitals and Clinics Iowa City IA Disclosures IL declares that she has no competing interests. Breast Surgical Oncology Fellow Department of General Surgery University of Iowa Hospitals and Clinics Iowa City IA Disclosures SF declares that she has

2018 BMJ Best Practice

17. Metastatic breast cancer

) if the disease has spread beyond the breast and ipsilateral lymph nodes (axillary, internal mammary, infra- and supraclavicular). Edge SB, Byrd DR, Brookland RK, et al (eds). AJCC cancer staging manual. 8th ed. New York, NY: Springer; 2017. History and exam presence of risk factors bone pain pleural effusion palpable mass after treatment of the primary shortness of breath anorexia weight loss neurological pain or weakness, headaches, seizures female sex age >50 years family history of breast and/or ovarian (...) no competing interests. Hematology and Oncology Ellis Fischel Cancer Center Margaret Proctor Mulligan Assistant Professor of Clinical Medicine Medical Oncology - Breast Program Director University of Missouri Columbia MO Disclosures PN declares that she has no competing interests. Professor Clinical Medicine University of Missouri Columbia MO Disclosures Not disclosed. Dr Edward Sauter, Dr Puja Nistala, and Dr Donald Doll would like to gratefully acknowledge Dr Carl E. Freter and Dr Michael Perry

2018 BMJ Best Practice

18. Multimodal ultrasound tomography for breast imaging: a prospective study of clinical feasibility (PubMed)

Multimodal ultrasound tomography for breast imaging: a prospective study of clinical feasibility To describe the clinical set-up and evaluate the feasibility of multimodal ultrasound tomography (MUT) for breast imaging.Thirty-two consecutive patients referred for breast imaging and 24 healthy volunteers underwent MUT. In the 32 patients, the examination discomfort was compared to that of mammography (n = 31), handheld ultrasound (HUS) (n = 27) and magnetic resonance imaging (MRI) (n = 4 (...) ) for MRI, and 6.3 (range = 1-10) for mammography. MUT examination time was 38 ± 6 min (mean ± standard deviation). In the patients referred for breast imaging, MUT detected four lesions and indicated malignancy in three of these cases. These findings were confirmed by additional imaging and biopsy.MUT is feasible in a clinical context considering examination time and patient acceptance. These interesting initial diagnostic findings warrant further studies.

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2017 European Radiology Experimental

19. Ultrasound Exam With Doppler for the Etiological Diagnosis of Orbital Masses (PUCE)

adding more. Ultrasound Exam With Doppler for the Etiological Diagnosis of Orbital Masses (PUCE) (PUCE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02678091 Recruitment Status : Recruiting First Posted : February 9 (...) . Quantitative analysis of the ultrasound exam with doppler of those masses could identify diagnostic criteria, especially for the lacrimal gland, easily explorable. Condition or disease Intervention/treatment Phase Tumor of the Orbit Device: Ultrasound exam with Doppler Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 200 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose

2016 Clinical Trials

20. Learn the physical exam by following an oncologist

abnormal physical exam, students can also gain practice describing their findings. Here’s how, and why: Some cancers are self-diagnosed by patients, which is especially common in patients with breast or head and neck cancers, who can often palpate an abnormality. Since healthy individuals are typically seen in internal medicine clinics, most will not have, for example, “masses” to examine. As such, medical students often lose the opportunity to a learn what a “fixed, non-mobile, rock hard, 2 cm mass (...) at the surgical site. All of these conditions manifest themselves at some at some point in their clinical history, physically. Don’t underestimate your eyes Forty percent of the physical exam is conducting by looking at the patient. How are they walking? Any tremors? Do they look sick? Are their eyes (sclera) yellow? Are they wincing from pain? Are they alone or accompanied by someone? What is their performance status? Is their breathing labored? What is their affect and mood? Where are their scars

2016 KevinMD blog

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